Displaying 164301-164310 of 1611142 results.
ID:
164301
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
164302
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
164303
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
164304
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
164305
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
164306
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
164307
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
164308
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
164309
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
164310
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
164301164302164303164304164305164306164307164308164309164310